re-2011-00162_0001 (2).tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
(402) 426- 4195 - FAX
RE- 2011- 00162 Ise °l www.blairnebraska.org
05/1312011 REMODEL Commercial May 13, 2011
LOCATIONOFIMPROVEMENT: 238 S 8th St, Blair, NE 68008
ARCHITECT:
� GENERAL Midlands Construction Services, Inc.
1 . OWNER: No Frills CONTRACTOR: 7521 Arrow Rock Dr
238 S 8th St Omaha, NE 68157
Blair, NE 68008
SELECTED CHA RACTERISTICS OF ® -
NATURE OF WORK PROPOSED USE
Remodel Primary Commercial
PROJECT NAME PERMIT EXPIRES 05/1212013
238S8thSt-1 10513-1 -Commercial Remodel ESTIMATED COMPLETION DATE 2011 -06 -30
DESCRIPTION OF WORK
Remodel deli seating area with new roof
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
AFFADAVIT O FAPPLICANT
1. No work will be started before a permit is ISSUED AND POSTED.
2. For commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshal's Office for review.
3. Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic system.
4. The undersigned owner or agent understands and acknowledges this building permit application does not constitute issuance of
this building permit. It is further understood that construction covered by this permit application shall not be commenced until a
copy of a permit signed by the Building Inspector is issued.
5. The undersigned owner or agent agrees to perform the proposed work in accordance with the specifications set forth above and
in accordance with the codes /ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or without the intention of the undersigned or any alteration or change from this application without approval of the
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
application.
Signature of Applicant Date